Prime Residential Senior Care

Based on record review and interview, the licensee did not comply with the section cited above by not having R2’s appraisals on file and not updating on R3 & R5 appraisal, which poses/posed a potential health and safety risk to residents in care.

Based on LPA's observation, the licensee did not comply with the section cited above. The water temperature was 126.1 Degrees F which poses a potential health, safety or personal rights risk to persons in care.

Based on record reviews and interviews, licensee did not comply with the section above, as facility staff handling medications were not properly documenting prescribed medications on CSMDR, which poses an immediate health and safety risk to residents in care.

Based on observation and record review the licensee did not comply with the section cited above by not obtaining a full bedrail doctor's order for R5 (who is not currently on hospice), which poses an immediate health and safety risk to residents in care.

Based on interviews and e-mail notification from credible witness on 04/15/26, the licensee did not comply with the section cited above by changing/construction of the facility roof without notifying CCLD. This poses a potential health and safety risk to residents in care.

Based on observation and interview , the licensee did not comply with the section cited above by going over capacity and there are seven (7) residents living at the facility which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation, interview, and record review, the licensee did not comply with the section cited above in not submitting an incident and death report for R5 which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above in not locking all the laundry and other toxins locked and was observed accessible to residents in care which poses an immediate health, safety or personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above in two out of two staff not completed their annual required training which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on record reviews and interviews, licensee did not comply with the section above, as facility staff handling medications were not properly documenting prescribed medications on CSMDR, which poses an immediate health and safety risk to residents in care.

Based on record review, the licensee did not comply with the section cited above. Resident records were incomplete and or missing signatures, which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above in having scissors in the bathroom and gardening tools in the backyard unlocked and accessible to residents in care which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above in two out of two medication storage, medication for diabetes unlocked in the fridge &over the counter medication of stomach relife unlocked and accessible to residents in care which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above in one out of one knife and three out of three scissors in the kitchen as well as in residents rooms which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above in two out of two toxins (Comet & Laundry detergent) accessible to residents in care which poses an immediate health, safety or personal rights risk to persons in care.

...Any significant changes in the plan of operation which would affect the services to residents shall be submitted to the licensing agency for approval. The plan and related materials shall contain the following:(7) Sketches, showing dimensions, of the following: Building(s) to be occupied, including a floor plan that describes the capacities of the buildings... This requirement is not met as evidenced by: Based on LPA's observation on 06/30/2023 there was an additional room created by the Licensee which was not reflected on the facility sketch during the application process, which posed a potential health and safety issue for residents in care.

Personal Rights of Residents in All facilities-To be accorded safe, healthful and comfortable accommodations, furnishings and equipment.This requirement was not met as evidenced by: Bases on observations facility staff did not ensure the personal rights of persons in care to a safe, healthy, and comfortable home and engaged in conduct inimical to the health, welfare, and safety of persons in care, in that facility staff did not wear a mask, and did not follow COVID-19 guidelines by screening visitors.